DARLENE M ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145658

License Status

NOT RENEWED

Business

First Name

DARLENE

Middle

Last Name

ANDERSON

Business Name

DARLENE M ANDERSON

Original Issue Date

11/06/2002

Effective Date

11/06/2002

Expiration Date

03/31/2005

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005